Abstract
Conjoined twins are very rare examples of congenital malformations. In 75% of thoracoomphalopagus conjoined twins, the intracardiac anatomy determines outcome and long-term survival. We successfully separated one case of thoraco-omphalopagus conjoined twins, with one having d-transposition of the great arteries. After control of sepsis, the twin underwent an arterial switch and complete repair of her cardiac defect. She made a full recovery and was discharged from the hospital 20 days after surgery. Careful planning, skillful surgical separation and cardiac surgery by a combined medical and surgical team is the key to save the twins in such a rare case.
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